Saint Petersburg, FL

Pinellas Point Nursing And Rehab Center

2-star overall rating with 1-star inspections with $290,823 in total fines with 7 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

5601 31st St S, Saint Petersburg, FL

(727) 867-6955

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

60

Certified beds

Average residents

53

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Sovereign Healthcare Holdings

Operator or chain grouping

Approved since

1995-03-08

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

43 facilities

Chain averages 4 overall / 3 health / 3 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.58

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.79

Licensed practical nurse staffing · state 0.79 · national 0.87

Aide hours / resident day

2.31

Nurse aide staffing · state 2.34 · national 2.35

Total nurse hours

3.68

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.37

RN + LPN hours · state 1.52 · national 1.54

Weekend hours

3.32

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.29

Weekend registered nurse coverage · state 0.53 · national 0.47

Physical therapist

0.10

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.68

CMS adjusted RN staffing hours

Adjusted total hours

4.34

CMS adjusted total nurse staffing hours

Case-mix index

1.16

Higher values indicate more complex resident acuity

RN turnover

63%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

54%

Annual nurse turnover · state 42% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,167

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

24.59

Composite VBP score used to determine payment impact.

Payment multiplier

0.9835

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 19.92% · Performance 22.17% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

1.51

Baseline 7.25% · Performance 7.38% · Measure score 1.51 · Achievement 1.51 · Improvement 0

Total nurse turnover

4.65

Baseline 55.32% · Performance 44.68% · Measure score 4.65 · Achievement 4.65 · Improvement 2.99

Adjusted total nurse staffing

3.67

Baseline 4.20 hours · Performance 4.12 hours · Measure score 3.67 · Achievement 3.67 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.64%
10.72%
0.9 pts worse
No Different than the National Rate · Eligible stays 83 · Observed rate 14.46% · Lower 95% interval 8.35%
Discharge to community 53.67%
50.57%
3.1 pts better
No Different than the National Rate · Eligible stays 47 · Observed rate 48.94% · Lower 95% interval 38.63%
Medicare spending per beneficiary 0.86
1.02
0.2 pts better
Drug regimen review with follow-up 90.28%
95.27%
5 pts worse
Numerator 65 · Denominator 72
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 72
Discharge self-care score 60.53%
53.69%
6.8 pts better
Numerator 23 · Denominator 38
Discharge mobility score 57.89%
50.94%
7 pts better
Numerator 22 · Denominator 38
Pressure ulcers or injuries, new or worsened 1.39%
2.29%
0.9 pts better
Numerator 1 · Denominator 72 · Adjusted rate 1.19%
Healthcare-associated infections requiring hospitalization 7.38%
7.12%
0.3 pts worse
No Different than the National Rate · Eligible stays 31 · Observed rate 9.68% · Lower 95% interval 3.71%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 90
Staff flu vaccination coverage 19.82%
42%
22.2 pts worse
Numerator 22 · Denominator 111
Discharge function score 71.05%
56.45%
14.6 pts better
Numerator 27 · Denominator 38
Transfer of health information to provider 97.06%
95.95%
1.1 pts better
Numerator 33 · Denominator 34
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 21.62%
25.2%
3.6 pts worse
Numerator 8 · Denominator 37

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.9
2.1
0.8 pts worse
1.9
1 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.9 · Observed 3.0 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 0.8
1.2
0.4 pts better
1.8
1 pts better
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.7 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.5%
97.8%
1.7 pts better
93.4%
6.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 97.9% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
99.2%
0.8 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 4.2%
2.6%
1.6 pts worse
3.3%
0.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 6.8% · Q3 2.0% · Q4 4.0% · 4Q avg 4.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 10.0%
3.7%
6.3 pts worse
11.4%
1.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 17.9% · Q3 6.5% · Q4 4.4% · 4Q avg 10.0%
Percentage of long-stay residents who lose too much weight 9.1%
5.9%
3.2 pts worse
5.4%
3.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 10.3% · Q3 7.3% · Q4 12.1% · 4Q avg 9.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 10.6%
15.7%
5.1 pts better
19.6%
9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 10.0% · Q3 11.9% · Q4 5.7% · 4Q avg 10.6%
Percentage of long-stay residents who received an antipsychotic medication 16.6%
9.8%
6.8 pts worse
16.7%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 20.9% · Q2 17.6% · Q3 12.2% · Q4 15.4% · 4Q avg 16.6% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.0%
About the same
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 11.1%
11.7%
0.6 pts better
16.3%
5.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 19.1% · Q2 10.4% · Q3 6.9% · Q4 8.7% · 4Q avg 11.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 9.2%
9.8%
0.6 pts better
14.9%
5.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 19.5% · Q2 5.4% · Q3 9.8% · Q4 0.0% · 4Q avg 9.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
0.4%
0.4 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.5%
0.8%
0.3 pts better
1.7%
1.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.3% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 12.5%
12.5%
About the same
19.8%
7.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 19.6% · Q2 21.6% · Q3 7.9% · Q4 2.1% · 4Q avg 12.5%
Percentage of long-stay residents with pressure ulcers 4.2%
5.1%
0.9 pts better
5.1%
0.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 4.5% · Q3 6.3% · Q4 3.7% · 4Q avg 4.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.5%
94.3%
4.2 pts better
81.7%
16.8 pts better
Short Stay · 2024Q4-2025Q3 · Q1 98.2% · Q2 100.0% · Q3 100.0% · Q4 94.3% · 4Q avg 98.5%
Percentage of short-stay residents who had an outpatient emergency department visit 5.2%
9.3%
4.1 pts better
12.0%
6.8 pts better
Short Stay · 20240701-20250630 · Adjusted 5.2% · Observed 6.4% · Expected 13.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.5%
1.5 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 100.0%
94.7%
5.3 pts better
79.7%
20.3 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 36.9%
26.2%
10.7 pts worse
23.9%
13 pts worse
Short Stay · 20240701-20250630 · Adjusted 36.9% · Observed 44.7% · Expected 28.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-05-01 · Fire 2024-05-01

7 health deficiencies

Top issue: Environmental (2 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2022-03-02 · Fire 2022-03-02

7 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2020-11-25 · Fire 2020-11-25

3 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2024-05-01

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-05-31

D · Potential for more than minimal harm 2024-05-01

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-05-31

D · Potential for more than minimal harm 2024-05-01

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-05-31

D · Potential for more than minimal harm 2020-11-25

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2020-12-25

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-05-01

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-05-31

E · Potential for more than minimal harm 2024-05-01

F847 · Administration Deficiencies

Health

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Corrected 2024-05-31

E · Potential for more than minimal harm 2024-05-01

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2024-05-31

E · Potential for more than minimal harm 2024-05-01

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2024-05-31

D · Potential for more than minimal harm 2024-05-01

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-05-31

D · Potential for more than minimal harm 2024-05-01

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2024-05-31

D · Potential for more than minimal harm 2024-05-01

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2024-05-31

K · Immediate jeopardy 2024-03-14

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-03-28

K · Immediate jeopardy 2024-03-14

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2024-03-28

J · Immediate jeopardy 2024-03-14

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2024-02-19

J · Immediate jeopardy 2024-03-14

F678 · Quality of Life and Care Deficiencies

Health

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected 2024-02-19

E · Potential for more than minimal harm 2024-03-14

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-03-28

D · Potential for more than minimal harm 2022-03-02

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2022-03-26

D · Potential for more than minimal harm 2022-03-02

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2022-03-26

D · Potential for more than minimal harm 2020-11-25

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2020-12-25

D · Potential for more than minimal harm 2020-11-25

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2020-12-25

D · Potential for more than minimal harm 2020-11-25

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2020-12-25

Penalties and ownership

What sits behind the stars

$290,823 2024-03-14

Fine

Fine · fine $290,823

Fine

$0 2024-03-14

Payment Denial

Payment Denial · denial start 2024-05-23 · 8 days

8 day denial

Ownership

Sovereign Healthcare Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

100% 9 facilities 2003-10-01
John J Notermann Business Tr

5% Or Greater Indirect Ownership Interest · Organization

83% 8 facilities 2017-11-12
Cronquist 2015 Family Tr

5% Or Greater Indirect Ownership Interest · Organization

15% 7 facilities 2015-12-31
Centennial Bank

5% Or Greater Security Interest · Organization

0% 10 facilities 2014-09-15
Cronquist, Royce

Operational/Managerial Control · Individual

0% 43 facilities 2018-02-01
Fl Pinellas Point Holdings, LLC

5% Or Greater Security Interest · Organization

0% 1 facilities 2009-05-19
Health Services Properties LLC

5% Or Greater Security Interest · Organization

0% 26 facilities 2009-05-19
Mangine, John

Operational/Managerial Control · Individual

0% 35 facilities 2012-06-25
Mccullough, Andrea

Operational/Managerial Control · Individual

0% 2 facilities 2024-07-08
Melton, Donald

Operational/Managerial Control · Individual

0% 43 facilities 2009-02-15
Notermann, William

Operational/Managerial Control · Individual

0% 32 facilities 2025-01-01
Saba, Fadi

Operational/Managerial Control · Individual

0% 1 facilities 2018-01-23
Southern Healthcare Management LLC

Operational/Managerial Control · Organization

0% 43 facilities 2003-10-01

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#3

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Health
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Staffing
4 / 5
Fines
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